California Institute of Cardiovascular Health, Inc

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

A91785 Issued in CA

Legal business name

CALIFORNIA INSTITUTE OF CARDIOVASCULAR HEALTH, INC

Practice address

10535 Foothill Blvd
Suite #365
Rancho Cucamonga, CA 91730-3843

Phone

(909) 466-8810

Fax

(909) 466-8811

NPI assigned

Jul 8, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shahdad Azmoon, M.D.NPI 1952482333

Title

President

Phone

(909) 466-8810

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shahdad Azmoon, M.D.

  • Interventional Cardiology Physician
  • Rancho Cucamonga, CA
  • NPI 1952482333
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1053752915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10535 FOOTHILL BLVD STE 365",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307602",
            "telephone_number": "909-466-8810",
            "fax_number": "909-466-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10535 FOOTHILL BLVD",
            "address_2": "SUITE #365",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303843",
            "telephone_number": "909-466-8810",
            "fax_number": "909-466-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA INSTITUTE OF CARDIOVASCULAR HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-08",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "AZMOON",
        "authorized_official_first_name": "SHAHDAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-466-8810",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A91785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Calderon
• Jushua Caldwell
• Nicole Caldwell, MSW, ASW, CATC-IV
• Natalia Calef, RPH
• California Foothills Medical Associates Inc
• California Mentor
• California Rehabilitation & Sports Therapy
• California Sleep Centers Inc.
• California Surgical Group LLC
• Californnia Imaging Associates II,Inc.

• Interventional Cardiology Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Interventional Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.